Ulerythema ophryogenes. extensive erythema with (scarred) raeration of the eyebrows. between the still persistent eyebrows are dense, fine, hairless follicular papules.
AL-amyloidosis in smoldering myeloma. 77-year-old patient with recurrent ecchymosis of the periorbital region, clinically corresponding to a hematoma of the eyeglasses. These characteristic skin lesions are called "raccoon sign". Further purple skin lesions are found in the neck and retroauricularly. The bone marrow biopsy showed a smoldering myeloma (infiltration of plasma cells at 15%).
Teleangiectasia macularis eruptiva perstans: discrete, moderately itchy, disseminated, 0.2-0.5 cm large, roundish, red or reddish-brown spots interspersed with telangiectasia; urticarial reaction when rubbed vigorously over the spot (Darier's sign).
haematoma, nail haematoma. nail alteration after slight crush trauma. striped, red and blue-black spots (splinter hemorrhages). since red and black shades are present at the same time, this finding speaks against a melanotic pigmentation.
Teleangiectasia macularis eruptiva perstans. 58-year-old patient with a generalized, flekc-shaped clinical picture which has existed for years and shows a constant progression. itching during sweat-inducing efforts and mechanical exposure of the affected skin areas. close-up with bizarre teleangiectatic vessel convolutions.
Purpura thrombocytopenic: Hemorrhagic spots with a tendency to confluence, existing on both lower legs with emphasis on the extensor sides. It is a drug-induced form of a thrombotic- thrombocytopenic purpura with hemolytic microangiopathic anemia and central nervous failure symptoms. The trigger was the ingestion of non-steroidal anti-inflammatory drugs. Sudden onset with fever, disorientation, stupor.
Erythronychia, localized longitudinal detail magnified by reflected light microscopy; solitary, painless, red longitudinal striation of the nail plate with slight, V-shaped retraction and several splinter hemorrhages.
Vasculitis leukocytoclastic (non-IgA-associated): multiple, for about 10 days existing, localized on both lower legs, irregularly distributed, 0.1-0.2 cm large, confluent in places, symptomless, red, smooth spots (not compressible).
Spider veins. Multiple, radially spread, radiating vascular dilatations of different calibre, partly in the skin level, without symptoms, persisting for several years, as if drawn with a thin pencil, located at the level of the skin, on the integument of a 77-year-old female patient. In the centre confluence of the filigree vascular strands to a bluish red spot.
Vasculitis, leukocytoclastic (non-IgA-associated). multiple, acute, symmetric, since 2 weeks existing, localized on both lower legs, irregularly distributed, 0.1-0.2 cm large, sharply defined, symptomless, hemorrhagic spots and blisters as well as beginning incrustations.
Dermatitis chronic actinic. detail enlargement: Disseminated, scratched papules and nodules as well as blurred, large-area, red, sharply itching fine-lamellar scaling spots and plaques in the face of a 51-year-old female patient with atopic eczema existing since birth.
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